How residency programs are training doctors to waste money - Vox

It makes sense that our practice patterns are very much influenced by where and with whom we train. Why should there be any exception when it comes to over-ordering tests and treatments?

A recent study in JAMA, Spending Patterns in Region of Residency Training and Subsequent Expenditures for Care Provided by Practicing Physicians for Medicare Beneficiaries, shows that where we train has implications for high-value care.

Residents who train in regions with high health care costs (that is, the places that err on the side of more scans and specialists) continue to practice expensive medicine decades beyond graduation — even if they move to low-cost parts of the country.
The JAMA paper suggests a tantalizingly easy way to save money in American health care: train more residents in low-cost areas of the country. They would learn, from the get-go, to be more frugal physicians. If there was a way for the health care system to cut 7 percent of all spending just by training doctors differently, after all, you'd think we'd jump at it.
But, like most things in health policy, this is easier said than done.

Read more on Vox.